I had 58 brachytherapy seeds implanted in February 2012 and have for the first six weeks only had an uncomfortable feeling that I put down to th swelling of the prostate due to the invasive procedure of implantation. When I questioned this at my first review the consultant agreed my view. although he doubled my dose of Tamulosin to 2 x 500mg daily
I am now at the 3 month stage and due to go for my second review on 21 May, I have been experiencing quite severe pain prior to during and after unination and when sitting down and when standing. I have still little control over urgrncy of wanting to go and the pain becomes unbearable, the only way I can describe it is " Mechanical " and comes from the perenial area deep inside right through my penis. it is so bad it makes me near cry. My GP and specialist nurse says it will fade over time and it is a result of the Brachy therapy. Unfortunatly I cannot have any strong pain killers or anti inflamatry medication as I am on Warfarin. I can only have cocodamol. I just wonder of they did somthing wrong on the implants and I am in fear of banging the table as they will want the have a scope inside me and I could not stand that because of the pain. Has anyone experienced the same or similar ? what should I do?
Sorry to hear that you are having such a bad time. Did you have Pladium or Iodine seeds? the half life of paladium is much shorter and the symptoms you describe should have been resolved in 6 weeks. Iodine takes much longer and 12 week is the usual period for the radiation to have died off enough to make the symptoms go away. In any case I would be seeing your doctor; I'm sure there are some pain meds or even twilight sleep (like you get with a colestomy) to make scoping more tolorable.
Thanks for your reply. Yes I had Iodine implants, and am only just at the 12 week point. I will give it another couple of weeks to see if ther is any fall off, then if not, see my GP thanks for the advice.
I switched from Flomax (tamsulosin) double dose to Rapaflo (silodosin) and had immediate improvement. There is research that shows it to be superior in relieving irritative urinary symptoms after brachytherapy:
I had seeds in 2-2011. A lot of urination discomfort & urgency for several months. Tamsulosin 0.4mg every 12 hrs made things decent after 6 months. After 9 months went to 1 0.4mg Tamulosin in the evening w/ dinner & 2.5 mg (buy 5mg & split) Cialis mid morning. Significant improvement in all functions. Now after 14 months urination discomfort minimal & better than preseeds. My problem is that my PSA has only dropped from 6.5 to 4.5 & seems to be leveling off.